Perceptions of stakeholders on the monitoring-evaluation strategies of the DGSHP’s reproductive health performance indicators

Abstract

The performance of projects or programs is often measured through the dimensions of effectiveness, efficiency, equity, admissibility and transparency. The purpose of this study was to better understand the monitoring and evaluation (M&E) process and to document  dysfunctions  in order to enable  decision-makers of the General Direction of Health and Public Hygiene of Mali (DGSHP) to provide solutions. Our results of these surveys have shown the accuracy and reliability of the M&E data of this structure through the availability of control mechanisms and data processing. On the other hand, within the framework of the organizational coherence of the various actors, it was noted a real lack of formal framework of dialogue between the actors to better coordinate and harmonize the activities.. Concerning the effectiveness of the activities, the majority of the interviewed actors think that the technical level of the monitoring staff is low, especially at the level of the Regional directions. In terms of the adequacy between the results obtained and the available means, 57% of respondents are not satisfied with the efficiency of the M&E activities of the DGSHP. Consequently, the authorities should consider appropriate solutions to fill the gaps and improve the performance of the M&E process of the DGSHP.